RUSSELL F JOHNSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036076127

License Status

NOT RENEWED

Business

First Name

RUSSELL F

Last Name

JOHNSON

Suffix

Business Name

RUSSELL F JOHNSON MD

Original Issue Date

10/07/1987

Effective Date

04/23/2014

Expiration Date

07/31/2017

City

STERLING

State

Zip

61081

County

WHITESIDE

Ever Disciplined

LastModifiedDate

11/01/2017